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Page xiii Acknowledgments The Committee on the Quality of Health Care America first foremost acknowledges the tremendous contribution by the members of two subcommittees.
Both subcommittees spent many hours working through a set of exceedingly complex issues, ranging from topics related to expectations from the health care delivery system to the details of how reporting systems work.
Although individual subcommittee members raised different perspectives on a variety of issues, there was no disagreement on the ultimate goal of making care safer for patients.
Without the efforts of the two subcommittees, this report would not have happened. We take this opportunity to thank each and every subcommittee member for their contribution.
Page xiv Share Cite Suggested Citation: Front page of business report Err Is Human: Building a Safer Health System. The National Academies Press. Reinertsen, CareGroup; Joseph E.
A number of people willingly and generously gave their time and expertise as the committee and both subcommittees conducted their deliberations.
Their contributions are acknowledged here. Participants in the Roundtable on the Role of the Health Professions in Improving Patient Safety provided many useful insights reflected in the final report. Page xv Share Cite Suggested Citation: A number of people at the state health departments generously provided information about the adverse event reporting program in their state.
The committee thanks the following people for their time and help: At the Veterans Health Administration, Kenneth Kizer, former Undersecretary for Health and Ronald Goldman, Office of Performance and Quality shared their views on how to create a culture of safety inside large health care organizations.
Other individuals provided data, information and background that significantly contributed to the committee's understanding of patient safety.
A special thanks is offered to Randall R. Bovbjerg and David W. Shapiro for preparing a paper on the legal discovery of data reported to adverse event reporting systems.
Their paper significantly contributed to Chapter 6 of this report, although the conclusions and findings are the full responsibility of the committee readers should not interpret their input as legal advice nor representing the views of their employing organizations.
A special thanks is also provided to colleagues at the IOM. Claudia Carl and Mike Edington provided assistance during the report review and preparation stages. Ellen Agard and Mel Worth significantly contributed to the case study that is used in the report.
Wilhelmine Miller expertly arranged the workshop with physicians, nurses and pharmacists and ensured a successful meeting. Suzanne Miller provided important assistance to the literature review. Tracy McKay provided help throughout the project, from coordinating literature searches to overseeing the editing of the report.
A special thanks is offered to Kelly Pike. Her outstanding support and attention to detail was critical to the success of this report. Her assistance was always offered with enthusiasm and good cheer. Page xvii Share Cite Suggested Citation: Additionally, the committee thanks Brian Biles for his interest in this work and gratefully acknowledges the contribution of The Commonwealth Fund, a New York City-based private independent foundation.
The views presented here are those of the authors and not necessarily those of The Commonwealth Fund, its directors, officers or staff. Page xviii Share Cite Suggested Citation:Oct 30, · Higher yields with less pesticides was the sales pitch for genetically modified seeds. But that has not proved to be the outcome in the United States.
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